Moore, Kristin Nicole
Moore, Kristin Nicole is an individual health care provider with primary practice located at 900 W Il Route 22 Suite 170, Lake Zurich IL 60047-3416. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Moore, Kristin Nicole can be contacted via phone (847) 438-9090.Contact Information
Primary practice address
900 W Il Route 22 Suite 170
Lake Zurich IL 60047-3416
Phone: (847) 438-9090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019028048 | Illinois |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021002474 | Illinois |
Profile Details
| NPI number | 1639503519 |
|---|---|
| LBN Legal business name | Moore, Kristin Nicole |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2013 |
| Last updated | Sep 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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